Finding 544401 (2023-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2025-03-31

AI Summary

  • Core Issue: Management lacked effective internal controls to ensure accurate reporting of lost revenue in the HHS portal, leading to discrepancies between reported and actual amounts.
  • Impacted Requirements: Compliance with Title 2 U.S. Code of Federal Regulations, Part 200.303, which mandates proper internal controls and accurate reporting to HHS.
  • Recommended Follow-Up: Implement robust internal controls for reviewing lost revenue calculations and retain documentation to support accuracy in future submissions.

Finding Text

Criteria: In accordance with Title 2 U.S. Code of Federal Regulations, Part 200.303, Internal controls, “Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award.” The terms and conditions of the award require the recipient to submit reports to the secretary of Health and Human Services (HHS) for each reporting period to ensure compliance with conditions that are imposed on the payment, and such report shall be in such form, with such content, as specified by the secretary of HHS in program instructions directed to all recipients. Condition: Management did not have sufficiently designed internal controls to review the supporting documentation used in the lost revenue calculation and the data submitted in the HHS portal. The amount of the revenue reported to Health Resources and Services Administration (HRSA) in the HHS portal for Periods 1 through 5 did not agree to the amounts recorded in the general ledger, resulting in the Period 4 and 5 reports to have incorrect cumulative revenues for July 1, 2022 to June 30, 2023. Cause: The Authority did not retain sufficient appropriate evidence of review and approval of amounts quantified as lost revenues attributable to COVID-19 that have not been reimbursed from other sources or that other sources are not obligated to reimburse. Management entered the incorrect information into the HHS portal. Management’s internal controls over the review and approval of the HHS portal data was not sufficiently robust to identify data input errors. Effect or potential effect: A lack of internal controls over the review of the lost revenue calculation submitted in the HHS portal could results in a misstatement of the amounts reported in the HHS portal. Potential effects include inappropriate amounts of lost revenue quantified that could impact the complete and accurate reporting of such amounts submitted to HRSA’s PRF Reporting Portal and amounts ultimately received by the Authority that could result in funds ultimately being required to be returned to HRSA. Questioned costs: None. Identification of a repeat finding: This is a repeat finding of Finding 2022-002 in the prior year. Context: There was a total of 4 HHS portal submission for the year ended June 30, 2023. The lost revenue reported on the Authority’s submission to HRSA’s PRF Reporting Portal amounted to $313,560,072. The total lost revenue supported by the Authority’s underlying calculations of lost revenue amounted to $263,152,407 for the year ended June 30, 2023. Therefore, Management reported $50,407,665 more in lost revenues in the portal than their supporting calculation. This difference had no impact on the amount received by the Authority from HHS under this Program. Recommendation: We recommend that Management develop and implement effective internal controls to ensure lost revenue calculations are reviewed and approved to ensure that the report submissions are accurate. The Authority should retain sufficient supporting documentation to support the lost revenue calculation was reviewed, approved, and calculated in accordance with the terms of the federal program during the period. View of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Corrective action plan over control environment over lost revenue COVID – 19 – Provider Relief Funding (Assistance Listing #93.498) Recommendation: The Authority’s procedures for calculating lost revenues for the purposes of PRF reporting should be designed to ensure that audited year end numbers are reported and/or tied back to amounts that are reported. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: Management will enhance its procedures around the preparation of the PRF submissions. Although quarterly information cannot be tied to an audited financial statement, year end numbers can be. If numbers that are submitted for PRF that do not tie back to an audited financial statement, a reconciliation will be completed and documented. Name(s) of the contact person(s) responsible for corrective action: Min Cummings, VP of Finance and Accounting, 703-629-8155 Planned completion date for corrective action plan: For the creation of the Schedule for FY2024.

Categories

Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 544400 2023-001
    Material Weakness Repeat
  • 544402 2023-001
    Material Weakness
  • 1120842 2023-001
    Material Weakness Repeat
  • 1120843 2023-002
    Material Weakness Repeat
  • 1120844 2023-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $15.52M
97.036 Covid-19 - Disaster Grants - Public Assistance (presidentially Declared Disasters) $3.39M
16.575 Crime Victim Assistance $477,270
93.917 Hiv Care Formula Grants $155,763
16.753 Congressionally Recommended Awards $68,911
93.495 Community Health Workers for Public Health Response and Resilient $49,332
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $3,600
21.027 Covid-19 - Coronavirus State and Local Fiscal Recovery Funds $302